20-45547503-G-T

Variant summary

Our verdict is Benign. The variant received -12 ACMG points: 0P and 12B. BP4_StrongBA1

The ENST00000651288.1(EPPIN-WFDC6):​c.-146C>A variant causes a 5 prime UTR change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.259 in 1,476,842 control chromosomes in the GnomAD database, including 50,974 homozygotes. In-silico tool predicts a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: 𝑓 0.26 ( 5372 hom., cov: 31)
Exomes 𝑓: 0.26 ( 45602 hom. )

Consequence

EPPIN-WFDC6
ENST00000651288.1 5_prime_UTR

Scores

3

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 0.166

Publications

5 publications found
Variant links:
Genes affected
EPPIN-WFDC6 (HGNC:38825): (EPPIN-WFDC6 readthrough) This locus represents naturally occurring read-through transcription between the neighboring SPINLW1 (serine peptidase inhibitor-like, with Kunitz and WAP domains 1) and WFDC6 (WAP four-disulfide core domain 6) genes. The read-through transcript encodes a fusion protein that shares sequence identity with the products of each individual gene. [provided by RefSeq, Nov 2010]
EPPIN (HGNC:15932): (epididymal peptidase inhibitor) This gene encodes an epididymal protease inhibitor, which contains both kunitz-type and WAP-type four-disulfide core (WFDC) protease inhibitor consensus sequences. Most WFDC genes are localized to chromosome 20q12-q13 in two clusters: centromeric and telomeric. This gene is a member of the WFDC gene family and belongs to the telomeric cluster. The protein can inhibit human sperm motility and exhibits antimicrobial activity against E. coli, and polymorphisms in this gene are associated with male infertility. Read-through transcription also exists between this gene and the downstream WFDC6 (WAP four-disulfide core domain 6) gene. Two transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Nov 2014]

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new If you want to explore the variant's impact on the transcript ENST00000651288.1, check out the Mutation Effect Viewer. This is especially useful for frameshift variants or if you want to visualize the effect of exon loss / intron retention.

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -12 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.9).
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.398 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: ENST00000651288.1. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
EPPIN
NM_020398.4
MANE Select
c.-146C>A
upstream_gene
N/ANP_065131.1O95925-1
EPPIN-WFDC6
NM_001198986.2
c.-146C>A
upstream_gene
N/ANP_001185915.1
EPPIN
NM_001302861.2
c.-146C>A
upstream_gene
N/ANP_001289790.1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
EPPIN-WFDC6
ENST00000651288.1
c.-146C>A
5_prime_UTR
Exon 1 of 5ENSP00000498632.1A0A494C0M2
EPPIN
ENST00000409554.1
TSL:5
c.-146C>A
5_prime_UTR
Exon 1 of 4ENSP00000387153.1B7ZBA9
ENSG00000237464
ENST00000803561.1
n.519+7226G>T
intron
N/A

Frequencies

GnomAD3 genomes
AF:
0.263
AC:
39887
AN:
151780
Hom.:
5359
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.261
Gnomad AMI
AF:
0.330
Gnomad AMR
AF:
0.286
Gnomad ASJ
AF:
0.286
Gnomad EAS
AF:
0.411
Gnomad SAS
AF:
0.231
Gnomad FIN
AF:
0.265
Gnomad MID
AF:
0.225
Gnomad NFE
AF:
0.248
Gnomad OTH
AF:
0.270
GnomAD4 exome
AF:
0.259
AC:
342867
AN:
1324946
Hom.:
45602
Cov.:
29
AF XY:
0.257
AC XY:
166727
AN XY:
648164
show subpopulations
African (AFR)
AF:
0.260
AC:
7706
AN:
29660
American (AMR)
AF:
0.377
AC:
10724
AN:
28422
Ashkenazi Jewish (ASJ)
AF:
0.286
AC:
5970
AN:
20838
East Asian (EAS)
AF:
0.435
AC:
15405
AN:
35390
South Asian (SAS)
AF:
0.229
AC:
15421
AN:
67326
European-Finnish (FIN)
AF:
0.268
AC:
8715
AN:
32468
Middle Eastern (MID)
AF:
0.240
AC:
901
AN:
3748
European-Non Finnish (NFE)
AF:
0.251
AC:
263750
AN:
1051878
Other (OTH)
AF:
0.259
AC:
14275
AN:
55216
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
Heterozygous variant carriers
0
13118
26236
39354
52472
65590
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
9418
18836
28254
37672
47090
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.263
AC:
39929
AN:
151896
Hom.:
5372
Cov.:
31
AF XY:
0.261
AC XY:
19402
AN XY:
74206
show subpopulations
African (AFR)
AF:
0.260
AC:
10790
AN:
41466
American (AMR)
AF:
0.287
AC:
4374
AN:
15254
Ashkenazi Jewish (ASJ)
AF:
0.286
AC:
991
AN:
3466
East Asian (EAS)
AF:
0.412
AC:
2107
AN:
5112
South Asian (SAS)
AF:
0.230
AC:
1108
AN:
4814
European-Finnish (FIN)
AF:
0.265
AC:
2799
AN:
10560
Middle Eastern (MID)
AF:
0.229
AC:
67
AN:
292
European-Non Finnish (NFE)
AF:
0.248
AC:
16811
AN:
67912
Other (OTH)
AF:
0.276
AC:
581
AN:
2108
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.501
Heterozygous variant carriers
0
1493
2986
4479
5972
7465
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
414
828
1242
1656
2070
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.225
Hom.:
1335
Bravo
AF:
0.273

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.90
CADD
Benign
1.4
DANN
Benign
0.53
PhyloP100
0.17
PromoterAI
0.034
Neutral
Mutation Taster
=300/0
polymorphism (auto)

Splicing

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

MaxEntScan Visualizer can be used to analyze the impact of this mutation on the neighboring sequence.

Publications

Other links and lift over

dbSNP: rs2227290;
hg19: chr20-44176142;
COSMIC: COSV51488479;
COSMIC: COSV51488479;
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